PROVIDENCE HOME AND COMMUNITY LIVING SERVICE
NPI 1124601000
Community/Behavioral Health in Memphis, TN

Q: What is Providence Home And Community Living Service's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 29, 2021

907 INMAN RD, MEMPHIS, TN 38111(901) 791-6041 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Providence Home And Community Living Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HOME AND COMMUNITY LIVING SERVICE (NPI 1124601000) is a healthcare organization registered as a community/behavioral health in Memphis, Tennessee and active in the NPI registry since April 2021. The organization lists Jasmine Dennis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124601000

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePROVIDENCE HOME AND COMMUNITY LIVING SERVICE

Location Address907 INMAN RDMemphis, TN 38111-3009

Mailing Address907 Inman RdMemphis, TN 38111-3009 · (901) 791-6041

Phone(901) 791-6041

Organization SubpartNo

Authorized OfficialJasmine DennisAdministrator · (901) 791-6041

Enumeration DateApril 29, 2021

NPPES CertifiedApril 29, 2021

✔ NPI 1124601000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedHome HealthTaxonomy 251E00000X

907 INMAN RD, Memphis, TN 38111

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Home And Community Living Service's NPI number?

The NPI number for Providence Home And Community Living Service is 1124601000. It was assigned to this organization in the NPPES registry on April 29, 2021.

Where is Providence Home And Community Living Service located?

Providence Home And Community Living Service is located at 907 Inman Rd, Memphis, TN 38111. The listed phone number is (901) 791-6041.

What is Providence Home And Community Living Service's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Providence Home And Community Living Service was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.